Case of Liver Failure

52 yrs lady brought by being carried by 4 person in the the state of semicomatose, abdomimal distention, high grade fever ,was admitted in ICCU at Hyderabad, Mumbai,Nagpur with no results; Patient went on getting worse and finally advised LIVER TRANSPLANTATION with No Guarantee of survival with or without transplantation and came here with no hope and for last choice just

ALTHOUGH SGOT, SGPT IMPROVING BUT BILLIRUBIN INCREASED AND PATIENT’S GC WAS ALSO DETORIATING DAY BY DAY AND DOCTORS ADVISED HER FOR LIVER TRANSPLANTATION AT THE COST OF RS. 25-30 LACS WITH NO GUARANTEE OF RECOVERY.

GENERAL EXAMINATION:-

BP:- 90/60

PULSE:-100/m, Regular, tachycardia

TEMPRATURE:- 99 degree

RESPIRATIORY RATE:- 28/m, Tachypnoea,

PALLOR:- ++nt

TONGUE: – Dry/ coated.

ICTERUS:- +++nt

LYMPHADENOPATHY:- not +nt

OEDEMA:- pitting oedema all over body

ABDOMEN:- Ascities +++nt,

ABDOMINAL GIRTH:- 103 cm

JVP (Jugular venous pressure) :- Elevated

Nail:- clubbing- absent

Flapping tremors +++nt

SYSTEMIC EXAMINATION:-

CNS:- Encephalopathy +++nt, pupils-normal, Semiconscious state,

CVS:- Tachycardia +nt, HS- normal,

RS :- Tachypnoea +nt, s/o ARDS, ronchi +nt

GIT:- Distension of abdomen

LIFE SPACE :-

She is ..

.

.

.

.

… she want normal delivery.

During Illness:-

Irritable,

Quarrelsome,

Contradiction intolerance

Conscientious:- because she realize that on her illness spend more money, and when Dr. advised transplantation she said to her family members don’t do this, inspite of that give money to her sisters daughters marriage because of dowry problems going in her marriage.

Patient was loquacious but still she was unable to talk yesterday due to breathlessness but today she talk comfortably that means breathlessness was gone,

She said, yesterday I feel that you doctors only asking question not give medicines but now she feels sabudane k goline itana asar kiya k bat karneme taklif bhi nahi ho rahi, she loves to talk that much that she was eagerly waiting for doctor for talking.

Reports:-

AFTER TREATMENT:-SCIENTIFIC MIRACLE HAPPENED LIVER RECOVERED AND ALL REPORTS ARE NORMAL